Individual provider Active NPI

Jeffrey Penfil, D.M.D.

  • General Practice Dentistry
  • West Chester, PA
National Provider Identifier
1346323607
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS025892L Issued in PA
Practice address
106 S High St
West Chester, PA 19382-3263
Phone
(610) 692-9250
Fax
(610) 701-9396
NPI assigned
Oct 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS025892L PA Primary

Addresses

Primary practice location

106 S High St
West Chester, PA 19382-3263

Mailing address

106 S High St
West Chester, PA 19382-3263
Phone (610) 692-9250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170116000308 AZ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0648552265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS025892LPAMDGeneral Practice Dentistry
009289AZMDDiagnostic Radiology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346323607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S HIGH ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193823263",
            "telephone_number": "610-692-9250",
            "fax_number": "610-701-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S HIGH ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193823263",
            "telephone_number": "610-692-9250",
            "fax_number": "610-701-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENFIL",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS025892L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.